Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06033 | Date 01/08/2019 |
| Token No | SM/19-20/25051 22/08/2020 | Serial | 020 Last Visit: 06/07/2022 |
| Patient Name | Mr. VISHMADEB BASU | Contact No | 9830924002 |
| Address | 4/A CHAKRABORTY LANE SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||